| NPI | 1073592408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01090522A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 20775) |
| 207L00000X Anesthesiology (Licence: AZ 40322) | |
| 207L00000X Anesthesiology (Licence: TX U8890) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-03-18 |