| NPI | 1447577168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 55462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 55462) |
| 207L00000X Anesthesiology (Licence: NY 327467) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-03-20 |