NPI | 1548402407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX P7067) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125053498) |
207L00000X Anesthesiology (Licence: TX P7067) | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2022-02-28 |