| NPI | 1184951758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01072050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57017222) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2015-04-14 |