| NPI | 1225387491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 66883094405) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 66883098900) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |