| NPI | 1013233840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 58691) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28813) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-12-03 |