| NPI | 1629313895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-16138) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301101808) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2023-04-07 |