| NPI | 1306933627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101050237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0044144) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0044144) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0044144) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-02-14 |