| NPI | 1487217022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U9830) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX U9830) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-12-18 |