| NPI | 1144532276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 23317) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 56365) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 23317) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 23317) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2025-06-25 |