| NPI | 1801840806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 170833-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 1708331205) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 1708331205) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-09-11 |