NPI | 1932147295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101058927) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101058927) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2021-07-23 |