| NPI | 1154532729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6770) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01058872A) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-06-29 |