NPI | 1710413513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX S3098) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S3098) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-08-23 |