NPI | 1487622817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 036768) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 036768) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 036768) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: GA 036768) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 036768) | |
Enumeration Date | 2006-03-10 |
Last Update Date | 2019-08-29 |