| NPI | 1134110109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0065589) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01053867A) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VT 042-0011556) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VT 042-0011556) | |
| 207L00000X Anesthesiology (Licence: VT 042-0011556) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2021-07-02 |