| NPI | 1245407279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME118283) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: RI MD13858) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2017-03-02 |