| NPI | 1093730558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 17568) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD13611) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-07-05 |