| NPI | 1407956543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01046088A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME74864) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-01-29 |