NPI | 1043201650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX E9804) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX E9804) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2013-01-16 |