| NPI | 1215964689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01060589A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G0158) |
| 207L00000X Anesthesiology (Licence: MI 4301081102) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MI 4301081102) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-07-24 |