NPI | 1619052743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 27094) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL27094) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 27094) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: SC 27094) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-05-14 |