| NPI | 1689605545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 7129) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 7129) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-01-23 |