| NPI | 1528682911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 76639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 94-10343) |
| 207L00000X Anesthesiology (Licence: WI 83639) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-07-15 |