| NPI | 1588984439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q3107) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10036951) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2020-04-15 |