| NPI | 1609933027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 67225) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 230715) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-06-11 |