| NPI | 1831184860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F3036) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX F3036) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX F3036) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2023-03-07 |