| NPI | 1073586244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 26015) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MN 26015) |
| 207R00000X Internal Medicine (Licence: CO DR.0053768) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-10-15 |