| NPI | 1285292615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 73975) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 94-09922) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-07-19 |