| NPI | 1093806697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-1788) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-1788) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR E-1788) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: AR E-1788) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-06-02 |