NPI | 1245219336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 3416) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 3416) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2012-04-09 |