| NPI | 1922534031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 71859) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 71859) |
| 208600000X Surgery (Licence: SC 40700) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-11-23 |