| NPI | 1750371472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 14364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2978) |
| 207L00000X Anesthesiology (Licence: IN 01069042A) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-01-31 |