| NPI | 1467598441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VT 032-0000427) |
| Additional Taxonomies | 174400000X Specialist (Licence: VT 032-0000427) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-03-05 |