| NPI | 1891968293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-6218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-6218) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2018-10-18 |