NPI | 1205845245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 48991) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 102530) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2020-08-04 |