| NPI | 1295710523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 60064122) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056581A) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2015-11-23 |