| NPI | 1689641870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 60700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 218556) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2022-06-14 |