| NPI | 1942230743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX f0213) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX F0213) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2010-07-16 |