| NPI | 1043215353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088771A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 174575-1) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2023-09-28 |