| NPI | 1730476961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 73780) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-248525) |
| 207L00000X Anesthesiology (Licence: GA 73780) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 73780) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2022-06-21 |