NPI | 1982664686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 23009) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CO 23009) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2007-11-21 |