| NPI | 1750336350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A89399) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01055035A) |
| 207L00000X Anesthesiology (Licence: AZ 33999) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-02-02 |