NPI | 1699760637 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS007769L) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H39929) |
207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS007769L) | |
Enumeration Date | 2005-09-15 |
Last Update Date | 2024-01-22 |