NPI | 1114380185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T0451) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T0451) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2025-09-17 |