| NPI | 1750368023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005029306) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-31525) |
| 207L00000X Anesthesiology (Licence: MA 211-981) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-02-07 |