| NPI | 1023049814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 10439) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 156309) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-10-24 |