| NPI | 1275911968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 1275911968) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 8018) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-08-10 |