| NPI | 1114906336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02004381A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 4768) |
| 207L00000X Anesthesiology (Licence: TX M2497) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2023-09-08 |