| NPI | 1043267800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C146437) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056890A) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-01-06 |