| NPI | 1326495698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T6262) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX T6262) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-05-17 |