| NPI | 1205806486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD13628) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 034039) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |