| NPI | 1578883245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 62183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01076493A) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-03-19 |