NPI | 1245640374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101258721) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101258721) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2024-07-09 |