| NPI | 1922231042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A123619) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A123619) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2014-06-09 |