| NPI | 1629297965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-6454) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 125611) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-04-10 |