| NPI | 1053378968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01055629A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01055629A) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-06-01 |