| NPI | 1730147562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD19395) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 46944) |
| 207L00000X Anesthesiology (Licence: IN 01084147A) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-02-15 |