| NPI | 1902850068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01073755A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.129284) |
| 207L00000X Anesthesiology (Licence: CA a80622) | |
| 207L00000X Anesthesiology (Licence: CO 37081) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-07-09 |