NPI | 1629030648 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 24930) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 24930) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2011-10-20 |