| NPI | 1225257967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 49856) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 49856) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-02-23 |