| NPI | 1760827653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 32805) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408098) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2018-05-22 |