| NPI | 1740250844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101246395) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01055187A) |
| 207L00000X Anesthesiology (Licence: SC 38905) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-09-07 |