| NPI | 1497798722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD4797798722) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01082143A) |
| 207L00000X Anesthesiology (Licence: TN 71008) | |
| 207L00000X Anesthesiology (Licence: NY 184666) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-01-14 |