| NPI | 1811008238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01062928A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 22488) |
| 207L00000X Anesthesiology (Licence: NE 17196) | |
| 207L00000X Anesthesiology (Licence: IN 01062928A) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-04-27 |