NPI | 1508854068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 31287) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 31287) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2009-06-24 |