| NPI | 1134360167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 252166) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01064949A) |
| 207L00000X Anesthesiology (Licence: ND 13604) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01064949A) | |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2024-12-04 |