NPI | 1881760072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MD D53497) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K7064) |
207LP2900X Anesthesiology Pain Medicine (Licence: TX K7064) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2021-06-18 |