| NPI | 1538131552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 38710) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 38710) |
| 207R00000X Internal Medicine (Licence: MN 38710) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 38710) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-07-09 |