NPI | 1699713578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00028446) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00028446) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-12-02 |