NPI | 1003870767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 26250) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 026250) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2007-07-08 |