| NPI | 1144269366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS-010397-L) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MB07488400) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C2-0006925) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-05-03 |