NPI | 1316037278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00026577) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00026577) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-05-20 |