NPI | 1720433881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME145598) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME145598) |
207LP2900X Anesthesiology, Pain Medicine (Licence: GA 88066) | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2023-11-10 |