| NPI | 1285693879 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 32182) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 32182) | 
| Enumeration Date | 2006-03-21 | 
| Last Update Date | 2016-06-08 |