| NPI | 1417905662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO DR.0051229) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 18445) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CO DR.0051229) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-12-05 |