| NPI | 1023451580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.151192) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01074662A) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2025-05-08 |