| NPI | 1427076157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 28855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 4586) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-01-06 |