| NPI | 1841456035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P4607) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN9430) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 27046) | |
| 207L00000X Anesthesiology (Licence: TX P4607) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-01-14 |