| NPI | 1508053190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60444237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056904A) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-12-08 |