NPI | 1215918685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200300512) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MN 58992) |
207L00000X Anesthesiology (Licence: TX M0851) | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2024-09-20 |