| NPI | 1114185113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N8894) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N8894) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-10-07 |