| NPI | 1558339788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-11290) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 20085) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-06-11 |