| NPI | 1831375104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME106691) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A93269) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A93269) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2013-10-22 |