| NPI | 1255770392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 9188963-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01078811A) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-09-07 |