| NPI | 1275948283 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-43334)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-43334)  | 
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 65431)  | |
| Enumeration Date | 2014-06-27 | 
| Last Update Date | 2025-04-17 |