| NPI | 1528160371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 61181) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX bp10053739) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 11069136-1205) | |
| 174400000X Specialist (Licence: ID RPT-1815) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-27 |