| NPI | 1346737236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10063370) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX U0579) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-07-15 |