| NPI | 1740059542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 82795-875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 82795-875) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 82795-875) | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-02-28 |