| NPI | 1043296486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-17180) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 17468) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-12-08 |