| NPI | 1437257854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 014420) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA 014420) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: LA 014420) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |