| NPI | 1659530640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 50100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 11014029A) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-06-14 |