| NPI | 1467443218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 025981) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: GA 025981) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2007-12-11 |