NPI | 1740660992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0011360) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: DE C1-0011360) |
207R00000X Internal Medicine (Licence: DE C1-0011360) | |
Enumeration Date | 2015-06-03 |
Last Update Date | 2019-06-11 |