NPI | 1750492559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR OR MD22748) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: OR OR MD22748) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-12 |