NPI | 1780990671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01075805A) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125058011) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2021-03-23 |