| NPI | 1245731413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 72584) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 58788) |
| 207L00000X Anesthesiology (Licence: AL MD.46603) | |
| 207L00000X Anesthesiology (Licence: VA 0101267683) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-04-30 |