| NPI | 1932420874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02004434) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV SL0737) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2025-10-14 |