NPI | 1467740670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 60754) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MN 60754) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2024-07-29 |