| NPI | 1356638548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 9685639-1204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 9685639-1204) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-03-28 |