| NPI | 1003016585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01089121A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.128362) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-12-14 |