NPI | 1427021237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.019122) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 019122) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2021-03-12 |