| NPI | 1669473740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02004278A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34006533) |
| 207L00000X Anesthesiology (Licence: FL OS8034) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2026-09-25 |