| NPI | 1922009992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA B40398) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA PAK000103) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD026996E) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-06-08 |