| NPI | 1427161157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.206211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M4066) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-05-22 |