| NPI | 1629059357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K6860) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 010845456A) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-11-17 |