| NPI | 1841306768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-17119) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-17119) |
| 207L00000X Anesthesiology (Licence: FL ME0060752) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-12-28 |