| NPI | 1427260371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 63473) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CT 57227) |
| 207L00000X Anesthesiology (Licence: WA MD60019025) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-03-23 |