NPI | 1154317725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 38887) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 38887) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2016-04-05 |