| NPI | 1548248362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 45743) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 85227) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2025-02-10 |