| NPI | 1578859039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2016-01237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077405A) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-03-06 |