| NPI | 1417160250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01097838A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U6849) |
| 207L00000X Anesthesiology (Licence: WA MD60099225) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2026-02-20 |