| NPI | 1295538668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 83136) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 35167) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-07-17 |