| NPI | 1013069699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AR E-5227) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-5227) |
| 207L00000X Anesthesiology (Licence: VA 0101248865) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-03-15 |