NPI | 1639274467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F0859) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: TX F0859) |
174400000X Specialist (Licence: TX F0859) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2008-02-21 |