| NPI | 1922180033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.065218) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01053103A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01053103A) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-06-28 |