| NPI | 1952371767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2000164187) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 05-37058) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2018-01-10 |