| NPI | 1437512340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME156307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 70055) |
| 207L00000X Anesthesiology (Licence: IN 01079417A) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-07-11 |