NPI | 1164770400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 270771) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: RI MD15822) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MA 270771) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2024-11-12 |