NPI | 1235492315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301101357) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 5315082409) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2020-11-02 |