| NPI | 1417170580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK MEDS6863) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01063421A) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-04-03 |