| NPI | 1003233123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MO 2021021858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 6465420) |
| 207L00000X Anesthesiology (Licence: MO 2021021858) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: WI 6465420) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01082023A) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-02-24 |