| NPI | 1487102356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 75000005A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000005A) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-02-17 |