| NPI | 1417417106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U2514) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01096412A) |
| 207L00000X Anesthesiology (Licence: CO DR.0076543) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-03-27 |