| NPI | 1558802801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A162963) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01093032A) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2025-07-17 |