| NPI | 1114918752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101254356) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 72372) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-11-05 |