NPI | 1750459616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 29603) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME EC-05-009) |
207L00000X Anesthesiology (Licence: AL MD29603) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-6125) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: MS 22757) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2023-08-29 |