| NPI | 1093078495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 6396) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR PG158664) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-03-20 |