| NPI | 1164405288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01081982A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 28313-020) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-08-12 |