NPI | 1225149883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 43013) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 43013) |
208100000X Physical Medicine & Rehabilitation (Licence: MN 43013) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-04 |