| NPI | 1568632529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 31861) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 31861) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 31861) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2012-02-01 |