NPI | 1871551580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 96749) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101228976) |
207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101228976) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2024-04-03 |