| NPI | 1972979771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301108071) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101280406) |
| 207L00000X Anesthesiology (Licence: IN 01092796A) | |
| 207L00000X Anesthesiology (Licence: VA 0101280406) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01092796A) | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2024-11-26 |