| NPI | 1245213388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0019212) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D19212) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2013-02-19 |