| NPI | 1427445089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD23657) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 65292) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-06-16 |