| NPI | 1013448653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A175428) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A175428) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-04-22 |