| NPI | 1447241484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P9821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P9821) |
| 207L00000X Anesthesiology (Licence: PA MD-065034-L) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD-065034-L) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-09-27 |