| NPI | 1881760007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NV 21842) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 21842) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 26542) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-11-06 |