NPI | 1851544258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 29675) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.29675) |
Enumeration Date | 2008-10-29 |
Last Update Date | 2024-02-01 |