NPI | 1437164852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301076099) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301076099) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2018-12-06 |