| NPI | 1336437581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.135642) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01077528A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036138225) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-06-18 |