| NPI | 1841787595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 8017686-1204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 009506) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-08-17 |