NPI | 1568459667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD22859) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 34465) |
207LP2900X Anesthesiology, Pain Medicine (Licence: KY 34465) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2022-02-03 |