| NPI | 1700044815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD-17118) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A115536) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2016-12-09 |