| NPI | 1235340571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01079351A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 43833) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-01-04 |