| NPI | 1891731428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301062899) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01050237A) |
| 207L00000X Anesthesiology (Licence: NY 213334) | |
| 207L00000X Anesthesiology (Licence: WI 36483-20) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-11-17 |