| NPI | 1760460935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-29580) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M4281) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-09-28 |