| NPI | 1235373622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD 17991) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD 17991) |
| 207L00000X Anesthesiology (Licence: CA A113437) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-12-23 |