| NPI | 1497010573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0058865) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO DR.0058865) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2021-04-21 |