| NPI | 1871856302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN PMC0000000910) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL34897) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-08-11 |