| NPI | 1992751150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 26729) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077544A) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-08-07 |