| NPI | 1235165440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 041756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28222) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: CO 41756) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-05-03 |