| NPI | 1891719233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AK AK4664) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G70548) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-10-28 |