| NPI | 1235559782 |
|---|---|
| Former Name | TRAVIS LEE REECE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A155840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A155840) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2024-04-11 |