| NPI | 1831772334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 77563) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 33396) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-08-10 |