| NPI | 1699748228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 30735) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01047755A) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-11-28 |