| NPI | 1225248958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01089553A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301079512) |
| 207L00000X Anesthesiology (Licence: KY 42034) | |
| 207L00000X Anesthesiology (Licence: VA 0101242586) | |
| 207L00000X Anesthesiology (Licence: OH 35.217457) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-05-25 |