NPI | 1649371097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS8555) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL OS8555) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2019-11-19 |