NPI | 1093780769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD24043) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD24043) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2007-07-16 |