| NPI | 1457653040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME MD20571) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD20571) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2020-11-11 |