| NPI | 1457766040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD187618) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID M-14606) |
| 207L00000X Anesthesiology (Licence: OR MD187618) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: ID M-14606) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-10-24 |