NPI | 1265409155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD21154) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD21154) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2024-01-31 |