NPI | 1528037330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 12449) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 12449) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2021-03-10 |