| NPI | 1144664418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 37006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 80256) |
| 207L00000X Anesthesiology (Licence: OK 37006) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2020-10-15 |