| NPI | 1609093616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 13859) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01051169A) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-08-07 |