NPI | 1780971994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 84015) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2017043613) |
207LP2900X Anesthesiology, Pain Medicine (Licence: AL DO 1611) | |
Enumeration Date | 2011-07-08 |
Last Update Date | 2022-05-25 |