| NPI | 1780745539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01089017A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 38006) |
| 207L00000X Anesthesiology (Licence: TX M8548) | |
| 207L00000X Anesthesiology (Licence: PA MD447781) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-07-24 |