| NPI | 1801087853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52813) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229070) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-02-01 |