| NPI | 1134165301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-4005) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD4005) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-07-02 |