| NPI | 1528089042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J3200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01040608A) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-11-07 |