| NPI | 1053392423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01066152A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 28704) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-09-04 |