| NPI | 1316524234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME MD27740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD27740) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-06-10 |