| NPI | 1689036253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T0286) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T0286) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-08-22 |