| NPI | 1356392823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 19409-020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 19409) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-10-10 |