| NPI | 1518302579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 57429) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD57429) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD57429) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2022-11-09 |