| NPI | 1316913429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 31350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SD 3792) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-04-19 |