NPI | 1871552596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 101471) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 101471) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2018-03-17 |