NPI | 1528562907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A165973) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A165973) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-10-27 |