| NPI | 1962523134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D75719) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056670A) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-07-05 |