| NPI | 1952307332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 101492) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 101492) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-06-07 |