NPI | 1669468708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD45244) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD45244) |
207L00000X Anesthesiology (Licence: GA 50483) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: GA 50483) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2022-04-08 |