| NPI | 1043224710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.018085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 018085) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 018085) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-11-02 |