| NPI | 1346337813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 22488) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 0103174A) |
| 207L00000X Anesthesiology (Licence: KY C4495) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2025-10-29 |