| NPI | 1437295003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 54537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 105434) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D68360) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-04 |