| NPI | 1427196591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D67544) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD P20224) |
| 207L00000X Anesthesiology (Licence: MD D67544) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-02-14 |