NPI | 1457351025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD044605L) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD044605L) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2023-05-25 |