| NPI | 1124083845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 33644) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N0387) |
| 207L00000X Anesthesiology (Licence: MO 2003002800) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX N0387) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N0387) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-04-25 |