| NPI | 1952696635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q9731) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX q9731) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-02-26 |