| NPI | 1477514438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101238438) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238438) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-10-04 |