| NPI | 1467558577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2009-01794) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-01794) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2009-01794) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-06-17 |