| NPI | 1881661270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 72728) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC TL27573) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC TL27573) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-10-26 |