| NPI | 1730704230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 76446) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 8792) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2026-07-21 |