| NPI | 1194779405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0043255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D43255) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-10-20 |