| NPI | 1861811069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 6574) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL DO.1522) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-05-22 |