| NPI | 1922462357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2020-00307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01081593A) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-03-28 |