| NPI | 1346350865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01061942A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR 13538) |
| 207L00000X Anesthesiology (Licence: WA 43104) | |
| 207L00000X Anesthesiology (Licence: IL 036-062266) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-11-20 |