| NPI | 1538152236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102209639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 4017) |
| 207L00000X Anesthesiology (Licence: WI 2992-321) | |
| 207L00000X Anesthesiology (Licence: IN 02007016A) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2025-11-06 |