NPI | 1134153430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 51530) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 51530) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-03-19 |