NPI | 1821626060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD490905) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101283448) |
207L00000X Anesthesiology (Licence: VA 0101283448) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-09-10 |