| NPI | 1891745030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 15705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 38195) |
| 207L00000X Anesthesiology (Licence: MO R5J51) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-07 |