| NPI | 1366563306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 30211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 001021) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 30211) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 30211) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-10-21 |