| NPI | 1710957246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60035674) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01053793A) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-11-06 |