| NPI | 1144335415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 0042044) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42044) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-12-21 |