| NPI | 1811924111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME60909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 31556) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-04-07 |