NPI | 1568993772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0025172) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD473898) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-04-01 |