| NPI | 1861604597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD14670) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A93939) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-09-20 |