| NPI | 1710952411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 4446) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 567) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-07-25 |