| NPI | 1750522660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01074139) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: KY 46334) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036149268) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2024-02-13 |