| NPI | 1700841541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 19539) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD18182) |
| 207L00000X Anesthesiology (Licence: AZ 19539) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD18182) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-02-25 |