NPI | 1548420979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 51290) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 103916) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2020-08-04 |