| NPI | 1952354623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01066649A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 36354) |
| 207L00000X Anesthesiology (Licence: FL ME170722) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-03-03 |