NPI | 1275911968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 1275911968) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 8018) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2022-08-10 |