| NPI | 1407880966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005006926) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01069140A) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-05 |