| NPI | 1477992303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2013018946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01078209A) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-01-31 |