NPI | 1235353152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101221056) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101221056) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2021-08-02 |