| NPI | 1184986200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A152215) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077492A) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-07-07 |