| NPI | 1245227461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 30389) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01045964A) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-04-26 |