| NPI | 1245227255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 20885) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 20885) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2025-10-25 |