| NPI | 1508889833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 3351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02002717a) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-17 |