| NPI | 1710149711 |
|---|---|
| Former Name | HOOMAN RASTEGAR FASSAEI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A106971) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD435490) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2009-09-21 |