| NPI | 1528040441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 020297) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 020297) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-02-18 |