| NPI | 1477972461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX R0872) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 008109) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R0872) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 008109) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-08-01 |