| NPI | 1427232925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61447708) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 3661741205) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2026-02-04 |