| NPI | 1760450084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088823A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R3190) |
| 207L00000X Anesthesiology (Licence: OK 21580) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2023-01-06 |