NPI | 1326060468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P0821) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO M0100262) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2018-03-17 |