| NPI | 1629018189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A46039) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01039188A) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-03-24 |