| NPI | 1437235074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52539) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 53696-20) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2017-02-28 |