| NPI | 1245231000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD031598E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD031598E) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-04-15 |