NPI | 1174576581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101259392) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101259392) |
207L00000X Anesthesiology (Licence: MA 212629) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101259392) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-11-22 |