| NPI | 1184042533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 02006029A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB10550200) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-10-13 |