NPI | 1922008143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA C137550) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C137550) |
207LP2900X Anesthesiology Pain Medicine (Licence: IL 036101678) | |
207LP2900X Anesthesiology Pain Medicine (Licence: IN 01057031A) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2024-05-15 |