| NPI | 1508220831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 62485) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 77274) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-07-24 |