| NPI | 1396884318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 17452) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM MD2006-0838) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-05 |