| NPI | 1477581684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX K1059) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX K1059) |
| 207L00000X Anesthesiology (Licence: TX K1059) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX K1059) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-09-16 |