NPI | 1063875250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD H00090961) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H00090961) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2022-06-08 |