| NPI | 1255646006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q5368) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q5368) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2018-08-16 |