NPI | 1902225139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A160637) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A160637) |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A160637) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2024-06-11 |