NPI | 1033672837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 77909) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 13284677-1205) |
207LP2900X Anesthesiology, Pain Medicine (Licence: UT 13284677-1205) | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2025-03-26 |