| NPI | 1932527074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R7797) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R7797) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2024-01-10 |