| NPI | 1316930126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01071169A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 35327) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2017-01-12 |