| NPI | 1932419116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 120648) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 120648) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-08-09 |