| NPI | 1659716330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 02005620) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.013233) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34.013233) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-10-12 |