| NPI | 1639274467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F0859) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX F0859) |
| 174400000X Specialist (Licence: TX f0859) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-02-21 |