| NPI | 1881898955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 50832) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 55760-20) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-05-31 |