| NPI | 1487699310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 11864) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01059752A) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-02-12 |