| NPI | 1265136725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 78341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 33992) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-10-31 |