| NPI | 1376059931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-14467) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ZZ 111111) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-09-09 |