| NPI | 1508423641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01090659A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 322633) |
| 207L00000X Anesthesiology (Licence: IL 036168361) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-09-20 |