| NPI | 1750459616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 29603) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME EC-05-009) |
| 207L00000X Anesthesiology (Licence: AL MD29603) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-6125) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 22757) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-08-29 |