NPI | 1851368898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 22845) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 22845) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2016-06-27 |