| NPI | 1457410615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301091989) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301091989) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-04-16 |