| NPI | 1538322631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 62858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 104464) |
| 207L00000X Anesthesiology (Licence: MN 52157) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-04-11 |