| NPI | 1023062387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME58297) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01059107A) |
| 207L00000X Anesthesiology (Licence: KY 40997) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-03-27 |