| NPI | 1750315420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA md033862l) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01061646a) |
| 207L00000X Anesthesiology (Licence: OH 35.035525) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: PA md033862l) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-05-18 |