| NPI | 1942330485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 4413) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4413) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-12-29 |