NPI | 1376508663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD26688) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K3764) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD26688) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX K3764) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2009-09-15 |