| NPI | 1689698912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K8150) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX K8150) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-10-23 |