| NPI | 1295981983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 51311) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 103662) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-12-31 |