| NPI | 1285845552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME110099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01091926A) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-11-21 |