| NPI | 1932896941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 77587) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 33440) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-08-13 |