| NPI | 1205253564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01079887A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN21256) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-04-05 |