| NPI | 1700865391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02006984A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34-007181) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2024-02-13 |