| NPI | 1093821480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD426142) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD426142) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD426142) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-05-30 |