| NPI | 1962489765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301506626) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01044848) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-12-08 |