NPI | 1376528414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 102394) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: MO 102394) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2008-07-02 |