| NPI | 1750557484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2009-00335) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 127331) |
| 207L00000X Anesthesiology (Licence: NC 2009-00335) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-06-26 |