| NPI | 1174904395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 73206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 11018416A) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-05-03 |