| NPI | 1578600946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-1537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2002015255) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-03-17 |