| NPI | 1164836458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01080411A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036149586) |
| 207R00000X Internal Medicine (Licence: MI 4301106054) | |
| 208M00000X Hospitalist (Licence: IN 01080411A) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01080411A) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-12-03 |