| NPI | 1447417324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP60339103) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A 10774) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2013-09-30 |