| NPI | 1306048400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI 13113) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 12737) |
| 207L00000X Anesthesiology (Licence: HI 13113) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: HI 13113) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-06-19 |