| NPI | 1598903015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0099659) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD435813) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD435813) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01066013A) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 57.015615) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2024-05-01 |