| NPI | 1720289424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-17125) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD44865) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-09-08 |