| NPI | 1497718613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0060705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD d0060705) |
| 207L00000X Anesthesiology (Licence: MD D60705) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-10-18 |