| NPI | 1497169213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: OK 6588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 6588) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-08-02 |