| NPI | 1245689330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.017255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA DOTP.TO.70023484) |
| 207L00000X Anesthesiology (Licence: IN 02005181A) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2025-09-03 |