| NPI | 1780851238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-17522) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-17522) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 74242) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-03-01 |