NPI | 1912986886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 00025583) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 00025583) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2010-09-27 |