| NPI | 1457395246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 53962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 214385) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-01-09 |