NPI | 1407176688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NV 20182) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: HI MD 18202) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2021-07-22 |