| NPI | 1699974170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-5849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 390200000X) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-11-19 |