| NPI | 1114138211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01064010A) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 134727) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-10-20 |