| NPI | 1245677145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R3086) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10047095) |
| 207L00000X Anesthesiology (Licence: TX R3086) | |
| 207L00000X Anesthesiology (Licence: FL ME136506) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-02-06 |