| NPI | 1184887663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS T-2092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2092) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2009-08-06 |