NPI | 1669638144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 49626) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125052076) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2016-01-27 |