| NPI | 1477712677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01065118A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60071468) |
| 207L00000X Anesthesiology (Licence: WI 57361) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01065118A) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 57361) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 84892) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-09-01 |