| NPI | 1326090481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 19463) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 46271) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-03-07 |