| NPI | 1356352751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101246858) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08067900) |
| 207L00000X Anesthesiology (Licence: VA 0101246858) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 244484) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A98695) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DC MD038530) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D70091) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-06-01 |