| NPI | 1316994684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01072681A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 36814) |
| 207L00000X Anesthesiology (Licence: TX T3229) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-05-30 |