| NPI | 1841348018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D66486) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0004125) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DE C10004125) | |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2021-04-22 |