| NPI | 1699941021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID O-0636) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02003137A) |
| 207L00000X Anesthesiology (Licence: UT 9528888-1204) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-10-06 |