NPI | 1811977689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 39063) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 39063) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2020-10-16 |