NPI | 1407898752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 01061649A) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 01061649A) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-09-16 |