NPI | 1366439705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD060309L) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD060309L) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2012-02-27 |