| NPI | 1710142435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 4913) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10022058) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2019-09-09 |