| NPI | 1255588430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 94962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02004312A) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-03-17 |