| NPI | 1841634631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 29868) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024045760) |
| 207L00000X Anesthesiology (Licence: KS 04-39460) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2025-05-01 |