NPI | 1740476035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TX N9297) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N9297) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2022-02-18 |