| NPI | 1265660468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C175262) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: IN 01072781A) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-09-26 |