| NPI | 1437392669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01066380A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 88757) |
| 207L00000X Anesthesiology (Licence: MI 4301084853) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-04-22 |