NPI | 1528447521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T1964) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T1964) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2024-01-10 |