| NPI | 1538426770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007078) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ R2270) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 007078) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-11-12 |