| NPI | 1598851750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q1349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02001791A) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-03-15 |