| NPI | 1437388675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-02121) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 70211) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2015-02121) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-09-27 |