| NPI | 1699739698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01074784A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301-070317) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-12-02 |