| NPI | 1942241963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 26944) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01030904A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01030904A) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-06-07 |