| NPI | 1215295613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01077079A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 57714) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-05-18 |