| NPI | 1740401348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 4857) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 6643) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-05-28 |