| NPI | 1437323169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 14255) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: NV 14255) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2024-01-23 |