NPI | 1043303373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 35305) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 35305) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2020-10-29 |