| NPI | 1447480694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 62884) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 57897) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2022-10-12 |