| NPI | 1881838639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 268939) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01084118A) |
| 207L00000X Anesthesiology (Licence: NY 268939) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01084118A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY TP370) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-04-02 |