| NPI | 1013994276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 63364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01041800) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2021-12-31 |