| NPI | 1245203025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 53974) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 53974) |
| 207L00000X Anesthesiology (Licence: IN 01055749A) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-12-28 |