NPI | 1558987024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61541215) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61541215) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2024-08-08 |