| NPI | 1881886166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D72455) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 221786) |
| 207L00000X Anesthesiology (Licence: PA MD439683) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD439683) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D72455) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2020-04-30 |