NPI | 1265522544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 12954) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 12954) |
207LP2900X Anesthesiology, Pain Medicine (Licence: SC 12954) | |
Enumeration Date | 2006-10-15 |
Last Update Date | 2021-02-03 |