| NPI | 1285130534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 33775) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 33775) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-04-22 |