NPI | 1124140009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IA 40036) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 40036) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-06-26 |