| NPI | 1023070810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO R4B81) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MO R4B81) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-05-28 |