| NPI | 1073545877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID O2026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 23217) |
| 207L00000X Anesthesiology (Licence: TX L4710) | |
| 207L00000X Anesthesiology (Licence: AZ 4067) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 4067) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-03-06 |