NPI | 1538396932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60668626) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 26089) |
207L00000X Anesthesiology (Licence: WA MD60668626) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: NE 26089) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: WA 60668626) | |
Enumeration Date | 2009-06-12 |
Last Update Date | 2021-02-05 |