| NPI | 1407219280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 54058) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01097948A) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2026-02-19 |