| NPI | 1548304835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 21764) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD21764) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-11-02 |