NPI | 1386648160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 26298) |
Additional Taxonomies | 174400000X Specialist (Licence: TN md26298) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2019-12-16 |