NPI | 1306209267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: PA MD479907) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME143774) |
207LP2900X Anesthesiology Pain Medicine (Licence: PA MD479907) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2023-03-01 |