| NPI | 1346236072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: WV 29999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E2860) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-04-05 |