NPI | 1467412692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 71800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 71800) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-08-20 |