NPI | 1407805690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01057017A) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01057017A) |
207LP2900X Anesthesiology, Pain Medicine (Licence: KY 36166) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301078845) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-12-02 |