| NPI | 1780114264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME MD26031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 287604) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 272550) | |
| 207R00000X Internal Medicine (Licence: MA 272550) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-08-14 |