| NPI | 1265470454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 32424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0032424) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-05-01 |