| NPI | 1851479141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 292031-1204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02003002) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-10-20 |