NPI | 1427039072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301056303) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4310156303) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2016-04-20 |