| NPI | 1568565927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R6487) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01058624A) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-08-19 |