| NPI | 1760649388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AR E-8972) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-8972) |
| 207L00000X Anesthesiology (Licence: AR E-8972) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2024-08-28 |