NPI | 1356369805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 101260) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 101260) |
208VP0000X Pain Medicine, Pain Medicine (Licence: MO 101260) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-04-25 |