| NPI | 1952375040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-35166) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238683) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-05-02 |