| NPI | 1548764020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 312805) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01090430A) |
| 207L00000X Anesthesiology (Licence: HI MD-22286-0) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-01-24 |