| NPI | 1922213412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD17768) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME MD17768) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-08-01 |