| NPI | 1275517641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD043353L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MX006698) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-11-29 |