| NPI | 1417072042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301080578) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 99022937a) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-05-03 |