| NPI | 1154529154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD-14991) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IA 37346) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2021-06-11 |