| NPI | 1770977886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-12314) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-12314) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-07-27 |