NPI | 1184623597 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS007665L) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS007665L) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2007-10-19 |