| NPI | 1275502999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 27638) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: SC 27638) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-11-10 |