| NPI | 1801323357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 288192) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 288192) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-04-17 |