| NPI | 1285621920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO R1F57) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO R1F57) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-11-22 |