| NPI | 1164788196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01093228A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301108959) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-08-26 |