| NPI | 1922073014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR n7006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR N7006) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-01-07 |