| NPI | 1285846535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TX N6483) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A96954) |
| 207L00000X Anesthesiology (Licence: TX N6483) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: CA A96954) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-01-05 |