NPI | 1306265582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 65497) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 65497) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MN 65497) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2025-02-05 |