| NPI | 1477724086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088546A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 72650) |
| 207L00000X Anesthesiology (Licence: CA A97180) | |
| 207L00000X Anesthesiology (Licence: CT 54812) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2024-01-15 |