NPI | 1063648541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD451410) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA ND451410) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2021-03-02 |