| NPI | 1992805717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 2233) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: HI 2233) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: HI 2233) | |
| 207R00000X Internal Medicine (Licence: HI 2233) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-11-13 |