| NPI | 1356768683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 143984) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01086496A) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-10-31 |