| NPI | 1396009783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 24367) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS T-2580) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-06-22 |