| NPI | 1194917310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 41043) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A90058) |
| 207L00000X Anesthesiology (Licence: IN 01065872A) | |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2025-12-02 |