| NPI | 1316922750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM MD2010-0116) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA Md059713l) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-11-12 |