| NPI | 1841309952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E9341) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 35984) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-18 |