NPI | 1760693444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA 60203919) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 60203919) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2018-03-29 |