| NPI | 1801873021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 26505) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 26505) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-04-18 |