NPI | 1558941302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61687395) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61687395) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2025-07-10 |