| NPI | 1609338748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TN 71520) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 41341) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-08-13 |