| NPI | 1407140080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A121465) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01072487A) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-06-05 |