NPI | 1619957354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 14792) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 14792) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2021-09-16 |