| NPI | 1992772446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301093420) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 30909) | |
| 208VP0000X (Licence: AZ 30909) | |
| 207L00000X Anesthesiology (Licence: HI 14954) | |
| 207L00000X Anesthesiology (Licence: FL ME102957) | |
| 207L00000X Anesthesiology (Licence: GA 061624) | |
| 207L00000X Anesthesiology (Licence: WI 44175) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2026-02-10 |