| NPI | 1881080091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-13533) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 38155) |
| 207L00000X Anesthesiology (Licence: AR E-1533) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-03-21 |