| NPI | 1881858355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 48076) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01064961A) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-06-14 |