| NPI | 1871551580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 96749) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101228976) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101228976) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-04-03 |