| NPI | 1346034345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 83103) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 35107) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2026-07-22 |