| NPI | 1851338123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME36860) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01083125A) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01083125A) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-12-24 |