| NPI | 1013087873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 87823) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02003308A) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-06-15 |