NPI | 1477573178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2007010574) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2007010574) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-10-31 |