| NPI | 1245390731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 62907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO1454) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-10-11 |