| NPI | 1578504734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 47720) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01060191A) |
| 207L00000X Anesthesiology (Licence: KY 47720) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01060191A) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-01-24 |