| NPI | 1780211995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A194305) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01098319A) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-12-23 |