| NPI | 1770970980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AR E-17056) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-17056) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CO DR.0064645) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2023-10-20 |