| NPI | 1003848755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MS 23102) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 23102) |
| 207L00000X Anesthesiology (Licence: MS 23102) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-08-29 |