NPI | 1700044815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A115536) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD-17118) |
Enumeration Date | 2008-05-26 |
Last Update Date | 2024-05-24 |