| NPI | 1063428381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1107) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01057038A) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-06-30 |