| NPI | 1205820271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 23724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01050840A) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-10-10 |