| NPI | 1245558238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D77323) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D77323) |
| 207L00000X Anesthesiology (Licence: MD D77323) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2021-12-16 |