NPI | 1598862682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: FL ME34699) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME34699) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-12-15 |