| NPI | 1326060468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P0821) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO M0100262) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-17 |