| NPI | 1275509754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 34982) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 34982) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 34982) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-05-04 |