| NPI | 1841459021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N9266) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N9266) |
| 207R00000X Internal Medicine (Licence: NY 182402) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-10-12 |