| NPI | 1295856623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD46715) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-225885) |
| 207L00000X Anesthesiology (Licence: TN MD0000046715) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-03-31 |