| NPI | 1184788598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A12230) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02003128A) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 02003128A) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-11-13 |