| NPI | 1275761348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MT 32777) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MT 32777) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-09-16 |