| NPI | 1457379851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G75793) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 99107908A) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: VA 0101050205) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-22 |