NPI | 1710232772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 831100) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 100528) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX S0045) | |
207L00000X Anesthesiology (Licence: SC 89035) | |
207L00000X Anesthesiology (Licence: MI 4301100689) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: NY 282377) | |
207L00000X Anesthesiology (Licence: IL 036172767) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: ND 14409) | |
208VP0000X (Licence: ND 14409) | |
Enumeration Date | 2012-07-16 |
Last Update Date | 2025-09-30 |