| NPI | 1588807952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P6031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P6031) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-05-20 |