| NPI | 1548432115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: IN 01065304A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01065304A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-115685) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2018-10-22 |