| NPI | 1659573640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.32531) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01062842A) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2023-12-29 |