NPI | 1841269545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP00001477) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP00001477) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2021-06-29 |