| NPI | 1285776864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CO 33466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 33466) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-06-21 |