| NPI | 1073527123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088974A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L7516) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-04-11 |