NPI | 1235182551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J6601) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J6601) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX J6601) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-03-17 |