| NPI | 1033230404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088475A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 55409) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01088475A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 262001) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA C168826) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60078993) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 55409) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-03-11 |