NPI | 1437132644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J4328) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J4328) |
207L00000X Anesthesiology (Licence: FL ME91371) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2025-09-11 |