| NPI | 1245890714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-17591) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 11182) |
| 207L00000X Anesthesiology (Licence: AR E-17591) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-07-25 |