| NPI | 1528298718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 57410) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2020-11-24 |