| NPI | 1003868449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 18225) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42241) |
| 207L00000X Anesthesiology (Licence: IN 01052930A) | |
| 207L00000X Anesthesiology (Licence: CA A86812) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-10-10 |