NPI | 1093169120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1392) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T1392) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2021-09-23 |