| NPI | 1992903504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 50035) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: TN 50035) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 065209) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 50035) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-07-25 |