NPI | 1336102441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301117172) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD11449) |
207L00000X Anesthesiology (Licence: MA 219701) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: RI MD11449) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: MA 219701) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-01-16 |