| NPI | 1912978404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01061703A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.050856) |
| 207L00000X Anesthesiology (Licence: MA 48832) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-08 |