| NPI | 1467848770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 71833) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 291896-1) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 71833) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-12-12 |