| NPI | 1881675346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2004010173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-30519) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-10-23 |