NPI | 1497852677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D67384) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0067384) |
207L00000X Anesthesiology (Licence: IN 01059930A) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101248964) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-05-10 |