| NPI | 1104868629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30278) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01051645A) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-11-05 |