NPI | 1730340902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 279837) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00049215) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2015-11-19 |