| NPI | 1902098080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI md-16032) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A100584) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2011-12-21 |