| NPI | 1073562286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 28943-020) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 28943) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-04-11 |