| NPI | 1528258365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 47254) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01063860A) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2023-11-09 |