| NPI | 1073754321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01074052A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 52172) |
| 207L00000X Anesthesiology (Licence: IN 01074052A) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 31063) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2024-02-26 |