NPI | 1336482645 |
---|---|
Other Name | RICK RUNYAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ID M-14202) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 9169428-8905) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2023-10-25 |