| NPI | 1386726081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G37120) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 18742) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |