NPI | 1386630796 |
---|---|
Former Name | ELLEN JOHANNA WEINBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 036480) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: GA 036480) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2013-03-26 |