| NPI | 1497836498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 12740) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX M3702) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: HI 12740) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-10-30 |