| NPI | 1033165212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01036103A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01036103) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-09-01 |