| NPI | 1033135702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 182604) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01088822A) |
| 207L00000X Anesthesiology (Licence: IN 01088822A) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME67602) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-07-06 |