NPI | 1972529477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301076811) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301076811) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2012-03-05 |