NPI | 1396001772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 57138) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 107044) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2020-08-04 |