| NPI | 1942282827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL OS8446) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS8446) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-07-16 |