| NPI | 1295783835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 72194) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 47245) |
| 207L00000X Anesthesiology (Licence: OR MD184818) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-09-06 |