| NPI | 1972583896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 51709) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01059433A) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-10-16 |