| NPI | 1407805690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01057017A) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: KY 36166) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: MI 4301078845) | |
| 207L00000X Anesthesiology (Licence: IN 01057017A) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-03-01 |