| NPI | 1205941838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 48920) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 10266) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-06-13 |