| NPI | 1124084959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01056949A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35075830) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.075830) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35075830) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-09-01 |