NPI | 1932753175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 83887) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 83887) |
207L00000X Anesthesiology (Licence: MA 1014422) | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2024-12-10 |