| NPI | 1407803794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01049448A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01049448A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036103384) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2014-02-19 |