| NPI | 1841873940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 34413) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 75731) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-08-19 |