| NPI | 1972037497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 64118) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 28967) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-08-25 |