| NPI | 1629173612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01062333A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 690630) |
| 207L00000X Anesthesiology (Licence: OR MD214853) | |
| 207L00000X Anesthesiology (Licence: NY 230888-1) | |
| 207L00000X Anesthesiology (Licence: WI 2496) | |
| 207L00000X Anesthesiology (Licence: IA MD-54416) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-07-01 |