| NPI | 1376704536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101257382) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 64416) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101257382) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 64416) | |
| 207Q00000X Family Medicine (Licence: IN 01064688A) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-06-22 |