| NPI | 1518302579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TN 57429) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 57429) |
| 207L00000X Anesthesiology (Licence: TN 57429) | |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2026-03-31 |