NPI | 1629338348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME137410) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.41538) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2023-11-30 |