| NPI | 1326004433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MD D58724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D58724) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MD D58724) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-05-11 |