| NPI | 1609876531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: IN 01028388) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01028388A) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2022-10-11 |