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 |