| NPI | 1952327199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 25762) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2004018271) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-12-02 |