| NPI | 1386956191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-23039) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD457863) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-08-02 |