NPI | 1750743480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A167141) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A167141) |
207L00000X Anesthesiology (Licence: CT 68102) | |
207L00000X Anesthesiology (Licence: NY 301993) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-08-21 |