| NPI | 1932367513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101245265) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01065283A) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2010-02-10 |