| NPI | 1932278520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-22511) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238169) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-05-15 |