| NPI | 1356807259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01087930A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.246909) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2026-08-06 |