| NPI | 1063482867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD 13489) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101250914) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2025-05-07 |