| NPI | 1780659615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 28018) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056321A) |
| 207L00000X Anesthesiology (Licence: TN MD0000042126) | |
| 207L00000X Anesthesiology (Licence: AL MD28018) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-11-23 |