NPI | 1780903328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101256584) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101256584) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2020-10-15 |