| NPI | 1225097850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD15115) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 10048) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-09-18 |