| NPI | 1023047255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-00022) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01059024A) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2011-00022) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-02-02 |