| NPI | 1992915425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2023-0431) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01057890A) |
| 207L00000X Anesthesiology (Licence: NV 13046) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-06-08 |