| NPI | 1629221288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 46131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01069358A) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-07-11 |