NPI | 1184079089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX S5661) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S5661) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2022-05-10 |