NPI | 1053519942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101253188) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101253188) |
207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101253188) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2025-05-28 |