| NPI | 1396190393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 55494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01097820A) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2026-03-18 |