| NPI | 1437598877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R7369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R7369) |
| 207L00000X Anesthesiology (Licence: CA A147457) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-12-06 |