| NPI | 1225081656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q9071) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01058776) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q9071) | |
| 207L00000X Anesthesiology (Licence: IN 01058776) | |
| 207L00000X Anesthesiology (Licence: AL 28231) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-03-21 |