| NPI | 1891139291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-40960) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 30003) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-06-08 |