NPI | 1679967954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 02006054A) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101021617) |
207L00000X Anesthesiology (Licence: IN 11018774A) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2021-12-17 |