NPI | 1093032252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 147090) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 50363) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2020-07-06 |