| NPI | 1437357019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 14638) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: NV 61-0660) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-04-21 |