NPI | 1437269081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 109904) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036092540) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-04-09 |