| NPI | 1134329345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 38894) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01096745A) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-08-01 |