| NPI | 1124020011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD36963) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD0000036963) |
| 207L00000X Anesthesiology (Licence: TN 36963) | |
| 207L00000X Anesthesiology (Licence: TN MD36963) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-07-14 |