NPI | 1144886383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101278313) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101278313) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2023-11-10 |