| NPI | 1356768683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 81042) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01086496A) |
| 207L00000X Anesthesiology (Licence: AK 143984) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 81042) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2025-05-27 |