| NPI | 1194723973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO DR.0057244) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA OP00002157) |
| 207L00000X Anesthesiology (Licence: WA OP00002157) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS-9477) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: WA OP00002157) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP00002157) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-03-13 |