| NPI | 1336643865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74245) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0016282) |
| 207L00000X Anesthesiology (Licence: VT 042-0016282) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-06-22 |