NPI | 1487633855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 246581) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017121) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2014-01-02 |