| NPI | 1467499210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 23297) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OK 23297) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 23297) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-03-17 |