| NPI | 1831328814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P3480) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A124181) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD-21897-0) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2023-08-14 |