| NPI | 1083856173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 66016) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60339118) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60339118) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2023-10-05 |