| NPI | 1154391563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 02002812) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 36108988) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-12-28 |