| NPI | 1376597617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301051900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00023426) |
| 207L00000X Anesthesiology (Licence: MI 4301051900) | |
| 207L00000X Anesthesiology (Licence: IN 01066530A) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-04-26 |