NPI | 1649616459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX q4477) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX q4477) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2019-08-06 |