NPI | 1568559698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN MD38345) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD38345) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2024-01-17 |