| NPI | 1780683748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME70522) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 11349) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-08-26 |