NPI | 1992196026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S9175) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 1600) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX S9175) | |
Enumeration Date | 2015-02-11 |
Last Update Date | 2025-02-19 |