| NPI | 1336674217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 69985-20) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 69985) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-10-09 |