| NPI | 1952373789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME152165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01035634A) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-10-07 |