| NPI | 1992265441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 83083) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01090182A) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-10-17 |