| NPI | 1043318587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MD D0058327) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MD D0058327) |
| 207L00000X Anesthesiology (Licence: MD D0058327) | |
| 207L00000X Anesthesiology (Licence: PA MD434779) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD434779) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-17 |