| NPI | 1538109855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 22099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD22099) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD22099) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-04-18 |