| NPI | 1922198068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME80271) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL me80271) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME80271) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: FL ME80271) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-08-10 |