| NPI | 1992792287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 34371) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME79861) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME79861) | |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: FL ME79861) | |
| Enumeration Date | 2005-10-01 |
| Last Update Date | 2024-05-08 |