| NPI | 1164503454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 369E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 369E) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |