| NPI | 1497726996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2013-02485) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01060965A) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-07-26 |