NPI | 1366440877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 017634) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD017634) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2021-04-20 |