NPI | 1164519955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 46093) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 46093) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-11-10 |