| NPI | 1982108940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.152214) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01085187A) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-10-17 |