| NPI | 1134359094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A123135) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A123135) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A123135) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2018-11-06 |