| NPI | 1598296923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02006973A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R4351) |
| 207L00000X Anesthesiology (Licence: KY 04960) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-03-23 |