| NPI | 1679728950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD153799) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA 60082192) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 239495) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 253210) | |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2022-02-01 |