| NPI | 1366535650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 7960622-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01060045A) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2013-08-22 |