| NPI | 1629025424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0049541) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D58366) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D58366) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D58366) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-11-28 |