NPI | 1144710278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 290941) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 290941) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2022-05-17 |