| NPI | 1265482988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01057137A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 38041) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-06-01 |