NPI | 1760479430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME75237) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME75237) |
Enumeration Date | 2005-09-28 |
Last Update Date | 2023-02-27 |