| NPI | 1033527866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 59350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 26197) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-06-05 |