NPI | 1255313631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 060334) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H0062660) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MD H0062660) | |
Enumeration Date | 2005-11-19 |
Last Update Date | 2020-12-01 |