NPI | 1497192702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 54777) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q5906) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2021-09-07 |