| NPI | 1780620690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01068391A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036113897) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2014-02-19 |