| NPI | 1932662574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A24973) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02006032A) |
| 207L00000X Anesthesiology (Licence: GU DO-0128) | |
| 207L00000X Anesthesiology (Licence: CA FPLP-000613) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-05-11 |