| NPI | 1891704870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61265710) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01062008A) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-05-28 |