| NPI | 1780946053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0069795) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0439017) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-03-27 |