| NPI | 1770674442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 40181) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01061795A) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-23 |