NPI | 1437610623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD223725) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 338174) |
207LP2900X Anesthesiology, Pain Medicine (Licence: LA 338174) | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-05-27 |