| NPI | 1912125493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 7683) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01063395A) |
| 207L00000X Anesthesiology (Licence: WA MD 60338755) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-11-21 |