| NPI | 1912162868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 26472) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 26472) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-04-29 |