| NPI | 1093743676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K3956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL MFC1493) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL MFC1493) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-04-17 |